MotivHealth Hiring for Medical Claim Processor Job at South Jordan, UT Full Time

Position Description: You will join a growing high performing team committed to lowering the cost of health care for our members. The role of Claim Analyst II processes provider and member submitted claims, ensuring adjudication is accurate and timely.

Additionally, you will participate in the advancement of our process and procedures to improve the team’s quality and efficiency.

Responsibilities and Duties:

• Load, review and adjudicate claims submitted by providers and members electronically and by paper
• Consistently meet processing accuracy and volume standards
• Identify and resolve problematic claim issues, quality concerns, and other member or provider issues and appropriately escalate
• Document all encounters and actions
• Develop a comprehensive understanding of MotivHealth claims processes and tools
• Maintain compliance, privacy and confidentiality in all documentation, communications and correspondence
• Contribute to team wide goals to improve claims processes and integrate additional functions into our operations

Knowledge, Skills and Abilities

• 2+ years working as a claim analyst/processor at a health insurance or closely related company required
• Knowledge of HCFA and UB claim processes
• Medical terminology, CPT, ICD and Revenue Coding familiarity
• Self-motivated, hardworking, organized and detail oriented
• Team player with strong interpersonal skills who contributes to building high performing teams
• Ability to work independently and takes initiative to improve process and procedures
• Tenacious investigator who enjoys troubleshooting and solving problems

Full time, in-office, routine business hours, (infrequent weekend and evenings).
Outstanding culture and environment with lots of opportunity for growth. Excellent pay and benefits.

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Referral program

Physical Setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental Pay:

• Bonus pay

Ability to commute/relocate:

• South Jordan, UT 84095: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Preferred)

Experience:

• medical claim processing: 2 years (Required)

Work Location: One location